| New Creek Family Medicine Pllc | |
|
1234 New Creek Hwy Keyser WV 26726-9505 | |
| (304) 788-9320 | |
| (304) 788-9320 |
| Full Name | New Creek Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1234 New Creek Hwy, Keyser, West Virginia |
| Authorized Official Name and Position | William Scott Thomas (PHSICIAN/OWNER) |
| Authorized Official Contact | 3047889320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Creek Family Medicine Pllc 1234 New Creek Hwy Keyser WV 26726-9505 Ph: (304) 788-9320 | New Creek Family Medicine Pllc 1234 New Creek Hwy Keyser WV 26726-9505 Ph: (304) 788-9320 |
| NPI Number | 1013331396 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 05/05/2015 |
| Medicare PECOS PAC ID | 6305064189 |
|---|---|
| Medicare Enrollment ID | O20140820002751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013331396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 57703 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 21506 (West Virginia) | Primary |
| Provider Name | William S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013945278 PECOS PAC ID: 6901809383 Enrollment ID: I20060825000141 |
| Provider Name | Amy S Ratke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376082354 PECOS PAC ID: 2264843754 Enrollment ID: I20201207000476 |
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